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LOCATION (PARK/OPEN SPACE):_
<br />tinder the authoripyof Administrative Order No. 58-03-24-Facrd Park and Open Space, Rule It- 1,005(3), you are hereby
<br />notified that you are prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />X
<br />The basis for this Notice of Restriction of Use is that on
<br />� you violated Section of the Park
<br />and 0 Space Rules, and/or Sect jon1-_P_7b(_�)of the FU gene Code, 1971, and/or ORS To wit, yow_
<br />;t - RrF
<br />(Description of the violation,)
<br />This restriction of use is effective beginning on and shall remain in effect until 0
<br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you may be
<br />arrested and charged with criminal trespass in the second degree.
<br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an informal hearing to contest this Notice, A request for an
<br />inflon hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director")
<br />within 48 hours (exclusive of weekends) ofreccipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedule a tinie and place for the infornial hearing to be conducted, which shall be not more than
<br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the infornial hearing the Division Director will only
<br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the
<br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the infornial hearing,
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and lime shown above by-,
<br />(Si g
<br />pature of c elivering notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above.
<br />f
<br />9F_J , N TAI
<br />AN
<br />(Signature of pekson being issued the notice)
<br />Wh i tc 0, spy Pub Works 6TCCn Copyl I it Y el I ow Copy; Report (. a iry Pink Copy: Recipient Gold Copy: Of Appeal nunLe kcv. 1341'03
<br />Name: Last First 6l4A*_0,V kfiddlt
<br />DOB:
<br />Rticc/Sex:
<br />r
<br />Res. Address: City
<br />'Sta�tc
<br />Zip
<br />Res. Phone:
<br />Work Phone
<br />tinder the authoripyof Administrative Order No. 58-03-24-Facrd Park and Open Space, Rule It- 1,005(3), you are hereby
<br />notified that you are prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />X
<br />The basis for this Notice of Restriction of Use is that on
<br />� you violated Section of the Park
<br />and 0 Space Rules, and/or Sect jon1-_P_7b(_�)of the FU gene Code, 1971, and/or ORS To wit, yow_
<br />;t - RrF
<br />(Description of the violation,)
<br />This restriction of use is effective beginning on and shall remain in effect until 0
<br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you may be
<br />arrested and charged with criminal trespass in the second degree.
<br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an informal hearing to contest this Notice, A request for an
<br />inflon hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director")
<br />within 48 hours (exclusive of weekends) ofreccipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedule a tinie and place for the infornial hearing to be conducted, which shall be not more than
<br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the infornial hearing the Division Director will only
<br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the
<br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the infornial hearing,
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and lime shown above by-,
<br />(Si g
<br />pature of c elivering notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above.
<br />f
<br />9F_J , N TAI
<br />AN
<br />(Signature of pekson being issued the notice)
<br />Wh i tc 0, spy Pub Works 6TCCn Copyl I it Y el I ow Copy; Report (. a iry Pink Copy: Recipient Gold Copy: Of Appeal nunLe kcv. 1341'03
<br />
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